Level of community re-integration after rehabilitation services for patients with guillain barre syndrome: a cross-sectional study

Abstract

Background: Guillain-Barre Syndrome (GBS) is a rare neurological condition that impairs a person's ability to participate in their daily activities physically and socially. The majority of patients made a full recovery after post rehabilitation, but some of them persistent symptoms and psychosocial problems that made daily tasks challenging and had a significant negative impact on a patient's individual’s life and community participation. Aim: The aim of the study is to identify about the level of Community re-integration after Rehabilitation services for Patients with Guillain Barre Syndrome. Methods: A cross-sectional study of the quantitative research design was carried out by using telephone survey among the 121 participants who received rehabilitation services from the CRP and currently living in the community for at least 12 months. Outcome measures through Craig Handicap Assessment and Reporting Technique Short Form (CHART-SF) scale to identify about the community reintegration level. The Mann-Whitney test and the Kruskal-Walli’s test was used for data analysis. Results: The mean and standard deviation scores for each CHART-SF, the following domains, participants displayed higher community reintegration scores. physical independence (96.21 ± 13.94) and cognitive independence (95.33 ± 15.20). Followed by social integration (73.04 ± 30.06), economic self-sufficiency (72.58 ± 37.14), occupation (64.06 ± 36.40) and mobility (53.81 ± 23.64) domains. Occupation, mobility, social integration, and economic self-sufficiency are seeing major declines in CHART-SF score. Gender and occupation, social integration domains, age and physical independence, mobility, occupation, social integration domains, occupational status and cognitive independence, mobility, occupation, economic self-sufficiency domains, education and economic self-sufficiency domains, and duration of rehabilitation and physical independence, economic self-sufficiency domains were all found to have statistically significant differences. Conclusion: A significant proportion of the individuals were able to go back to occupation, mobility independence and reintegrated into the society. Therefore, community-based rehabilitation should be emphasized on patient’s quality of life, mobility and ability to return to their occupation. Keywords: GBS, Rehabilitation, Community Re-integration.